Summary Hearing OrderDocket Number:

In the Matter of: / Superior Court of New Jersey
Chancery Division - Family Part
County of / - Select County -
Child, / Docket Number / FC -
NJSpirit Participant #: / NJSpirit Case #:
Date of Birth: / Civil Action - Order
Summary Hearing Order

This matter having been brought before the court on , 20 in the presence of:

the child / , ☐ appearing / ☐not appearing, represented by
Law Guardian / , ☐ appearing / ☐ not appearing
the Parent/Guardian / ☐appearing / ☐not appearing,
☐noticed / ☐ not noticed, represented by
Attorney / ☐ appearing / ☐ not appearing
the Parent/Guardian / ☐appearing / ☐ not appearing,
☐noticed / ☐ not noticed, represented by
Attorney / ☐appearing / ☐ not appearing
Deputy Attorney General / ☐appearing / ☐ not appearing,
representing the Division of Child Protection and Permanency (Division)
Division Caseworker/Supervisor / ☐ appearing / ☐not appearing
Division Phone number: / ext.:
Court Appointed Special Advocate / ☐ appearing / ☐ not appearing
Resource Family member [initials only] / ☐ appearing /☐ not appearing
Resource Family member [initials only] / ☐ appearing / ☐not appearing
Other / ☐ appearing / ☐ not appearing

And the court having received and reviewed the reports and testimony in reference to the above-named child in the form of a Summary Hearing and for the good cause shown,

It Is on This Day of , 20 ,Ordered That:

A.For Cases Monitored by the Court

☐1.Placement be continued in accordance with the placement plan currently in effect.

☐2.Placement be continued in accordance with a new placement plan to be developed and submitted by the Division of Child Protection and Permanency(the Division) within days and approved by the Court. The matter will return to this court in the form of . Said plan to include:


.

☐3.Adoption consent package to be completed by , 20 .
Outstanding issues in regard to consent package:


.

B.For Cases Monitored by the Child Placement Review Board Only

☐1.Placement plan be continued; it is recommended that the Division initiate proceedings to terminate parental rights in order to free the child for adoption.

☐2.The child be returned to his/her parent(s) or legal guardian(s).

☐3.RED FLAG: Return home is prohibited until the Court approves the Division's proposed action and orders the return home of the child.

☐4.The Division of Child Protection and Permanency is not required to make reasonable efforts to reunify the child with the parent as per N.J.S.A. 30:4C-11.3 for the following reason(s) :


.

☐5.CPR Board review will be held on , 20 , at .

C.And It Is Further Ordered That:


.

D.And This Matter Shall Return to Court for

☐Summary Hearing on , 20 , at .

☐Permanency Hearing on , 20 , at .

, J.S.C.

These proceedings are confidential. The disclosure of any records, reports or information is strictly prohibited and subject to the penalties of N.J.S.A. 9:6-8.10b.

All prior orders not inconsistent with this order shall remain in full force and effect.

Attorneys must review the form of order prior to exiting the courtroom. Failure to do so waives any objections.

Revised Form Promulgated by AJ Memo (07/18/2018), CN: 10257page 1 of 2